What? Me Worry!?!

What? Me Worry!?!

What? Me Worry!?!
Module 8
Helpful Thinking

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Centrelinical
C Interventions

Psychotherapy Research Training

Introduction

The Thinking-Feeling Connection

When To Use Helpful Thinking

Helpful Thinking Diary

Example

Worksheet

Module Summary

Module 8: Helpful Thinking

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What? Me Worry!?!
Introduction
In this module, you will learn more helpful ways of thinking about things that concern you. This is similar to
problem solving, which is more action-focused constructive thinking for worries that we can do something
about. This module will look at ways we may be able to think differently, in a more helpful way, about
some of the things that bother us.

The Thinking-Feeling Connection

What you think, and the thoughts that go through your mind, are very important in
determining how you feel. Stop for a moment and think: when you are feeling good, what
sorts of thoughts roam around in your head? Conversely, when you are feeling bad, what
sorts of thoughts are you having?
It makes sense to most people when we say that:
It is not the situation you are in that determines how you feel,
but the thoughts, meanings, and interpretations you bring to that situation.
Here is an example of what we mean. Imagine you are told that you will have a pop quiz on Monday.
Below are three different ways of thinking about this same situation and the different emotions, behaviours,
and physical sensations that would result from thinking in these different ways.
Example event: Being told you have a pop quiz
Emotions
Thought 1
I love quizzes! I know this stuff
quite well so I think Ill do fine.

Thought 2
I dont know anything, I am
going to fail for sure.

Thought 3
So what? I dont care. This
subject isnt important anyway.

Behaviour

Physical

Happy

Do a bit of revision

Quite
relaxed

Anxious
Sad

Try to study hard,

cant concentrate,
dont get much done

Sick in
stomach
Tense

Neutral

Do no study

Quite
relaxed

Can you see how what we think can be so important in determining how we feel emotionally and
physically, and can influence what we do?
As we have already explained, worrying is a type of thought process where you engage in repetitive
negative and catastrophic thinking about things you predict could happen. When such a negative thinking
style is constantly hassling you, emotions like anxiety may result, and you may experience unpleasant
physical sensations and avoid doing certain things. One way to lift those negative emotions and unpleasant
bodily sensations and get you back to doing things, is to challenge those worrisome thoughts. This means
that you dont just accept them as true, but question them further, just like the previous detective work
you did with your beliefs about worrying.

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Module 8: Helpful Thinking

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What? Me Worry!?!
When To Use Helpful Thinking
Before we outline how to go about thinking in more helpful ways, it is very important to be clear on when
this is a helpful strategy to use to deal with worries. Trying to reason with your worries and think in logical
and realistic ways, may be something you have tried before. You may have found that often this approach
is useless, as the worry just pops back. What we know is that trying to think logically in the moment as
soon as a worry pops up in ineffective, as it can be just another way we are trying to control and push away
our negative thoughts, but rationalising them away! As we know, pushing our worries away, even if the
way we go about it seems sensible, just does not work.
Therefore, the helpful thinking that you will learn in this module, should be reserved for your thinking
time that is part of postponement. You may be tempted to use what you learn in this module to talk back
to the worries as soon as they pop up, as a way of trying to put them in their place. But doing this is just
giving the negative thoughts time and attention, and getting into that push-pull tug-o-war that gets you
stuck in worry in the first place.
So remember, when a worry pops up, postponement is still your way of responding to it in the moment.
Only later in thinking time, and only if something is still bothering you, should you then turn to using more
helpful thinking strategies. The aim is that either problem solving or helpful thinking, will be the type of
thinking strategies you can use during your allocated thinking time that is part of worry postponement.
Most people dont do their best thinking in the moment when a worry pops up and emotions are high.
Acknowledge this, and save problem solving and helpful thinking to your thinking time. You may be
surprised about the productive and helpful thinking you are able to do.

Helpful Thinking Diary

We would like to introduce you to a Helpful Thinking Diary to guide you in developing
more helpful ways of thinking. If this way of thinking is new to you, then following a
step-by- step guide can be useful. Even if you are familiar with this approach, putting
pen to paper can free your mind, making it less cluttered so you are able to think
more clearly
On the next page is an example of how to complete a Helpful Thinking Diary, and
following that is a blank copy for you to practice on. The Diaries guide you through
how to put your worrisome thoughts out on paper.
The Diary will first ask you to write down information about your worries (My Worries). For example:
What am I worrying about?
List my worrisome thoughts.
After seeing these worrisome thoughts written down, youll then need to ask yourself:
What am I predicting is going to happen? Usually you are predicting that something bad is going to
happen, so be specific and write down exactly what it is you fear might happen.
How strongly do I believe this will happen? Rate the strength of your belief between 0 and100%
What emotion(s) am I feeling?
How intense are these emotions? Rate the intensity of your emotion(s) between 0 and 100%

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Module 8: Helpful Thinking

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What? Me Worry!?!
You are not just going to get those worrisome thoughts out on paper, you are also going to start looking at
the situation from different perspectives and try out some more Helpful Thinking. Here are some useful
questions to ask yourself to get the helpful thinking juices flowing:

What is the evidence for my prediction?

What is the evidence against my prediction?
What is the worst that could happen? And what could I do to cope?
What is the best that could happen?
What is the most likely thing that will happen?
What are the consequences of worrying about this?
What is a more helpful way to view the situation? What advice would I give to a friend feeling this way?

Based on your answers to the questions in your Diary, you will then come to a more Helpful Conclusion
by asking:
What would be a more balanced and helpful thought to replace my worry?
The final step is to:
Re-rate how much you now believe the original prediction you were making.
Re-rate how intense the emotions are that you were originally feeling.
If you follow through with this strategy, it is likely that you will experience a decrease in your belief in the
negative predictions you were making and a decrease in the intensity of your emotions. If it has been useful
in this way, then great, you can put the worry to rest. However, if this process hasnt led to more helpful
thinking, then continue to postpone the worry. Because remember, as we know from our work on the
positive beliefs about worryworrying about it will serve no purpose.
In general, keep practicing more helpful thinking during your thinking time when needed. It will take time,
persistence, and practice, but being able to see life in a more balanced way will be very rewarding.

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Psychotherapy Research Training

Module 8: Helpful Thinking

Page 4

What? Me Worry!?!
My Worries

Helpful Thinking Diary (Example)

What am I worried about?

What am I predicting?

A work project

I wont meet the deadline.

I wont do a good job.
My boss wont be happy with
me.

List my worrisome thoughts

Will I be able to meet the
deadline? What if I dont do a
good job? What if I dont get it
in on time? What will my boss
do to me?

What emotion(s) am I
feeling? (Rate the intensity 0100%)
Anxious (80%)
Depressed (50%)

How much do I believe it will

happen (0-100%)? 80%

Helpful Thinking
What is the evidence for my prediction?

What is the evidence against my prediction?

I am very busy, so getting the project done will

be a challenge.
My boss hasnt been very friendly of late.

I have always finished on time before.

My work is generally of a high standard.
I have worried about stressful work situations
before and gotten through them okay.
My boss either praises my work or doesnt say
anything they have never really
criticised my work.

What is the worst that could happen? And what

could I do to cope?

What is the best that could happen?

I could get fired. But, I could find another

job Id be O.K. financially until I did.

I could do such a good job that I get lots of

praise from my boss.
I may even get a bonus.

If my boss criticised my work it wouldnt feel

good, but I guess I could take it
constructively. It wouldnt be the end of the
world, Id get over it.

What is the most likely thing that will happen?

Ill get it done on time, and the quality of my work will be O.K. My boss will either be happy or
neutral about it.

What are the consequences of worrying about this?

Worrying about this doesnt do any good, it just makes it worse because I find it hard to focus
on getting the job done.

What is a more helpful way to view the situation? What advice would I give to a friend feeling this way?
I have done this sort of thing before, so I can probably do it again.
I am good at what I do, so Ill probably do a good job it doesnt have to be absolutely perfect.
I could tell my boss I am under a lot of pressure they dont expect me to be a superhero.
Other peoples work is not as good as mine, and they dont get fired.
I can be happy with just getting it in on time, and doing a good job I dont also need my
boss to praise me.

Helpful Conclusion
A more balanced and helpful thought to replace my worry is:
Worrying about this is unhelpful. I know I can do this job on time and well. All my past
experiences show me that. I should remember that, rather than thinking the worst.

How much do I believe my

prediction now (0-100%) 40%
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How intense are my emotions now (0-100%)

Anxious (40%) Depressed (10%)

Module 8: Helpful Thinking

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What? Me Worry!?!

Helpful Thinking Diary

My Worries
What am I worried about?

What am I predicting?

What emotion(s) am I feeling? (Rate

the intensity 0-100%)

List my worrisome thoughts

How much do I believe it will happen

(0-100%)?

Helpful Thinking
What is the evidence for my prediction?

What is the evidence against my prediction?

What is the worst that could happen? And what could I

do to cope?

What is the best that could happen?

What is the most likely thing that will happen?

What are the consequences of worrying about this?

What is a more helpful way to view the situation? What advice would I give to a friend feeling this way?

Helpful Conclusion
A more balanced and helpful thought to replace my worry is:

How much do I believe my prediction

now (0-100%)
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How intense are my

emotions now (0-100%)
Module 8: Helpful Thinking

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What? Me Worry!?!
Module Summary

How you think affects the way you feel emotionally and physically, and also affects the way you behave

Worrying is a negative thought process that makes you feel anxious and tense, and makes you avoid
things

If certain worries that you have postponed still bother you at thinking time, then one way to deal with
them is to try thinking in more helpful ways, which usually involves looking at the situation from a
different perspective

For worriers, practicing more helpful thinking is best done at thinking time, rather than in the moment
as soon as a worry pops into their head

You can practice thinking in more helpful ways using the Helpful Thinking Diary

Using the Diary, write down what it is you are predicting, and rate how much you believe it. Also rate
your emotions

Then question your worries by asking yourself:

What is the evidence for and against my prediction?

What is the best, worst (could I cope?), and most likely scenarios?

What are the consequences of worrying about this?

How else could I see things? What would I say to a friend?

By asking these questions, you can develop a more balanced/helpful thought to replace your worries

Finally, re-rate your belief in your worries and re-rate your emotions, to see if your Helpful Thinking
Diary has been useful in dealing with your worry. If it has been helpfulgreat! If not, continue to
postpone.

Coming up next
In the next module, you will address
something that is common for people
with generalised anxiety having
difficulty accepting uncertainty.

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Module 8: Helpful Thinking

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What? Me Worry!?!
About The Modules
CONTRIBUTORS
Dr Lisa Saulsman (MPsych1; PhD2)
Centre for Clinical Interventions
Paula Nathan (MPsych1)
Director, Centre for Clinical Interventions
Adjunct Senior Lecturer, School of Psychiatry and Clinical
Neuroscience, The University of Western Australia
Dr Louella Lim (DPsych3)
Centre for Clinical Interventions
1

Masters of Psychology (Clinical Psychology)

Dr Helen Correia (MApp Psych1; PhD2)

Centre for Clinical Interventions
Dr Rebecca Anderson (MPsych1; PhD2)
Centre for Clinical Interventions
Bruce Campbell (MPsych1)
Centre for Clinical Interventions

Doctor of Philosophy (Clinical Psychology)

Doctor of Psychology (Clinical)

Some of the materials in the modules of this information package were taken from:
Saulsman, L., Anderson, R., Campbell, B., & Swan, A. (2015). Working with Worry and Rumination: A
Metacognitive Group Treatment Programme for Repetitive Negative Thinking. Perth, Western Australia:
Centre for Clinical Interventions.

BACKGROUND
The concepts and strategies in the modules have been developed from evidence based psychological
practice, primarily Metacognitive Therapy (MCT). MCT is a type of psychotherapy developed by Professor
Adrian Wells at the University of Manchester. MCT is an extension of Cognitive-Behaviour Therapy
(CBT) and is based on the theory that repetitive negative thinking, such as chronic worry in generalised
anxiety, is a result of problematic metacognitions (i.e., beliefs about thinking) and behaviours. There is good
scientific evidence to support that targeting metacognitions and behaviours in therapy can help many people
to overcome generalised anxiety. Examples of this evidence are reported in:
McEvoy, P. M., Erceg-Hurn, D. M., Anderson, R. A., Campbell, B. N. C., Swan, A., Saulsman, L. M., Summers,
M., & Nathan, P. R. (2015). Group metacognitive therapy for repetitive negative thinking in primary and
non-primary generalized anxiety disorder: an effectiveness trial. Journal of Affective Disorders, 175, 124132.

REFERENCES
These are some of the professional references used to create the modules in this information package.
Barlow, D.H. (2002). Anxiety and Its Disorders: The Nature and Treatment of Anxiety and Panic (2nd ed.).
London: Guilford Press.
Heimberg, R.G., Turk, C.L., & Mennin, D.S. (2004). Generalized Anxiety Disorder: Advances in Research and
Practice. New York: Guilford Press.
Wells, A. (1997). Cognitive Therapy of Anxiety Disorders: A Practice Manual and Conceptual Guide. Chichester,
UK: John Wiley & Sons Ltd.
Wells, A. (2008). Metacognitive Therapy for Anxiety and Depression. New York: Guilford Press.

WHAT? ME WORRY!?!
This module forms part of:
Saulsman, L., Nathan, P., Lim, L., Correia, H., Anderson, R., & Campbell, B. (2015). What? Me Worry!?!
Mastering Your Worries. Perth, Western Australia: Centre for Clinical Interventions.
We would like to thank Mandy Nathan, Psychologist, Oxfordshire, England, for the suggestion of a "worry puss" for
the theme character of this Information Package
ISBN: 0-9751985-9-9
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Centrelinical
C Interventions

Psychotherapy Research Training

Created: June, 2015

Module 8: Helpful Thinking

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